Evergreen Medical Group Sammamish – Family Medicine Physician, NPI 1417058694

Evergreen Medical Group Sammamish is a healthcare provider. based in Seattle, Washington. specializing in Family Medicine Physician. The NPI Number for Evergreen Medical Group Sammamish is 1417058694

Main info

Organization
Name
Evergreen Medical Group Sammamish
NPI
1417058694
Phone
(425) 899-3292
Address
PO BOX 34036
Authorized Official
ROBERT MALTE CEO
Enumeration Date
26 September 2006
Last Update Date
4 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Evergreen Medical Group Sammamish

  • PO BOX 34036

    SEATTLE, WA 981241036

    Phone: (425) 899-3292

    Fax: (425) 899-3269

    Type: Mailing

  • Saffron Apartments - Building One, 22850, Northeast 8th Street, Sammamish, King County, Washington, 98074, United States

    STE 103

    SAMMAMISH, WA 980747256

    Phone: (425) 898-0305

    Fax: (425) 898-8825

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98124)

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Reviews

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Frequently asked questions

What is the standard ID for Evergreen Medical Group Sammamish in the U.S.?
In the U.S., Evergreen Medical Group Sammamish is identified by NPI 1417058694.
Should I treat Evergreen Medical Group Sammamish as an active provider?
Patients and plans typically see Evergreen Medical Group Sammamish as active in the national extract.
How should patients interpret Evergreen Medical Group Sammamish's specialty?
The extract shows Family Medicine Physician for Evergreen Medical Group Sammamish. Clinical services aligned with this taxonomy classification.
What city is tied to Evergreen Medical Group Sammamish?
The directory associates Evergreen Medical Group Sammamish with Seattle, Washington. Check all listed addresses for suites or satellite offices.
Who maintains Evergreen Medical Group Sammamish's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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